OrganizationActive
Genesiscare USA of Florida LLC
NPI 1891036810 · Surgery Physician · Fort Myers, FL
Provider details
- NPI number
- 1891036810
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesiscare USA Inc
- Organization subpart
- Yes
- Authorized official
- Shaden Marzouk, President(239) 931-7254
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13691 Metro Pkwy Ste 350
Metro Medical Plaza
Fort Myers, FL 33912-4351
Phone: (239) 768-5313
Fax: (239) 768-9559
Street-level locationGet directions
Mailing address
1419 Se 8th Ter Ste 200
Cape Coral, FL 33990-3213
Other names (DBA / former)
- Doing business as
- Lawrence R. Black, DO
- Doing business as
- Lawrence R. Black, DO
Registry dates
- Enumerated
- 2013-03-15
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.